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    Advanced Imaging Across the Lung Cancer Care Continuum: Four Priority Areas — and Where Reimbursement Is Already Moving

    Richard A. Frank, MD, PhD · August 25, 2026 · 3 min read

    AI/MLMedical ImagingDiagnosticsCPTReimbursement

    The American Cancer Society National Lung Cancer Roundtable has named four advanced imaging technology areas as priorities for development. For teams building AI-enabled imaging and diagnostic products, the more immediate signal is where reimbursement is already moving.

    The commentary

    The American Cancer Society National Lung Cancer Roundtable has published a commentary in Cancer setting out priorities for advanced imaging across the lung cancer care continuum. The Roundtable's Advanced Imaging Across the Lung Cancer Care Continuum Task Group identified four advanced imaging technology topics as priority areas for development:

    • Novel imaging technologies
    • Quantitative imaging biomarkers
    • Systems for sharing image data and/or algorithms
    • Imaging-related artificial intelligence solutions

    The commentary provides background for each priority topic, describes key clinical problems along the lung cancer care pathway as use-case scenarios, and comments on the challenges that impede implementation and dissemination of these advances.

    Richard A. Frank, MD, PhD, Frank Healthcare Advisors, is among the commentary's authors.

    Why it matters now

    "Progress in these 4 priority areas already is being manifest in CPT codes for Software as a Medical Service in Radiology — and in Digital Pathology, which is emerging as a fast follower in Oncology. Track the Summary of Panel Actions from 2026 — Feb, May, and, soon, also the September Panel meetings, as a key inflection point for innovators and investors."1

    — Richard A. Frank, MD, PhD

    Priority areas signal where a field intends to go. Coding activity signals where it is already being paid for. For innovators and investors evaluating AI-enabled imaging and diagnostic products, the AMA CPT Editorial Panel's published Summary of Panel Actions is a practical place to watch that shift take shape.

    Notes

    1. Software as a Medical Service (SaMS) is terminology proposed by the Centers for Medicare & Medicaid Services, not a variant of Software as a Medical Device (SaMD). In the CY2027 Hospital Outpatient Prospective Payment System proposed rule, CMS proposed replacing "Software as a Service (SaaS)" with "Software as a Medical Service (SaMS)" to refer to software-based technologies that support clinical decision making through algorithmic analysis, including those that provide clinical or diagnostic functionality. The rule also proposed maintaining existing new technology APC assignments for SaMS through CY2027 as a transitional step, and creating a new status indicator "O1" for SaMS paid under OPPS with separate APC payment. This is a proposed rule; the comment period closed on August 31, 2026, and the provisions are not final. ↩

    Medicare Program: Hospital Outpatient Prospective Payment System — proposed rule, Federal Register, July 7, 2026

    Public inspection copy (SaMS discussion at pp. 457–462)

    Sources and references

    1. Sullivan DC, McNitt-Gray M, Aberle DR, et al. The American Cancer Society National Lung Cancer Roundtable strategic plan: Opportunities in advanced imaging across the lung cancer care continuum. Cancer. 2026;132(16):e70516. https://doi.org/10.1002/cncr.70516
    2. AMA CPT Editorial Panel — Summary of Panel Actions: https://www.ama-assn.org/about/cpt-editorial-panel/summary-panel-actions

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